Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS015998 | PA |
Y | 207QA0505X | Family Doctor - Adult Medicine | 006827 | AZ |
NPI | 1174752257 |
---|---|
Provider Name | Dr. Daniel Michael Kohn |
First Address | Sedona, AZ 86336-5769 |
Second Address | Sayre, PA 18840-1625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2009 |
Last Update Date | 30/12/2015 |